疼痛管理护理路径对带状疱疹后神经痛患者疗效、心理状态和生活质量的影响

目的 探讨疼痛管理护理路径对带状疱疹后神经痛(PHN)患者疗效、心理状态和生活质量的影响.方法 选取PHN患者100例作为研究对象,将其随机分为观察组和对照组,各50例.对照组患者给予常规护理,观察组患者给予基于疼痛管理路径的护理,对两组患者治疗护理前、后的视觉类比量表(VAS)评分、疼痛评估指数(PRI)评分、睡眠受干扰程度评分的改善幅度、临床疗效、治疗7 d、15 d的便秘发生率及治疗护理后的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、SF-36量表评分进行比较.结果 观察组患者VAS评分、PRI评分、睡眠受干扰程度评分的改善幅度均高于对照组,两组之间的差异均有统计学意义(t=3.140、2.859、5.067,P<0.05);观察组患者的临床有效率高于对照组,疗效分布优于对照组,两组之间的差异均有统计学意义(U=2.729、x2=5.741,P<0.05);治疗15 d,观察组患者的便秘发生率低于对照组(x2=5.844,P<0.05);观察组患者治疗护理后的SAS评分、SDS评分均低于对照组,两组之间的差异有统计学意义(t=10.302、9.603,P<0.05);观察组患者各维度SF-36量表评分均显著高于对照组,两组之间的差异均有统计学意义(t=12.211~44.042,P<0.05).结论 在PHN的护理中应用疼痛管理路径模式,能够提高治疗效果,缓解患者的负性情绪,提高患者的生活质量.

Effects of nursing of pain management pathway on the psychological status and quality of life of patients with postherpetic neuralgia

Objective To explore the effects of nursing of pain management pathway on the psychological status and quality of life of patients with postherpetic neuralgia (PHN).Methods A total of 100 patients with PHN were selected as the research objects and randomly divided into the observation group and the control group,50 cases in each group.The patients of the control group were treated with the conventional nursing,while the patients of the observation group were treated with nursing of pain management pathway.The improvements of the visual analogue scale (VAS) scores,the pain rating index (PRI) scores,the sleep disturbance score before and after the treatment and nursing,the clinical therapeutic effects,the incidence of constipation at 7th day,15th day of treatment,and the self-rating anxiety scale (SAS) scores,the self-rating depression scale (SDS) scores,the SF-36 scale scores after the treatment and nursing of the patients of the two groups were evaluated and compared.Results The improvements of the VAS scores,the PRI scores,the sleep disturbance score of the patients in the observation groups were higher than that in the control group.The differences between the two groups were statistically significant (t=3.140, 2.859, 5.067, P<0.05).The clinical efficiency of the patients in the observation group was higher than that in the control group, the distribution of therapeutic effects was better than that in the control group.The differences between the two groups were statistically significant (U=2.729,x2=5.741, P<0.05).At 15th day of the treatment,the incidence of constipation of the patients in the observation group was lower than that in the control group (x2=5.844 P<0.05).The SAS score and the SDS score after the treatment and nursing of the patients in the observation group were lower than those in the control group.The differences between the two groups were statistically significant (t=10.302,9.603, P<0.05).The SF-36 scores at all dimensions of the patients in the observation group were significantly higher than those in the control group, and the differences between the two groups were statistically significant (t=12.211~44.042, P<0.05).Conclusion The application of pain management pathway mode in the nursing care of PHN can improve the therapeutic effects,alleviate the negative emotion of the patients,improve the quality of life of the patients.